HIV-infected patients in clinics with written
procedures were significantly more likely to report receiving HIV
prevention counseling in the last six months than were patients in clinics
with no procedures (OR=3.17, 95% CI:1.24-8.06, p<.02).

In clinics where individual providers initiated
counseling or where no procedures were in place, patient characteristics
such as race, gender, and sexual orientation were associated with receipt
of prevention counseling.

These differences were not observed in clinics
with written procedures.

Clinicians’ views regarding their role and
responsibilities influence the extent to which provider-based interventions
are implemented.

In clinics without written procedures,
clinicians appear to offer HIV prevention services to HIV-infected patients
based on client demographics, including race,gender, sexual orientation and sexual activity.